| Doctor Name: | DR. PATRICK MCKENNA |
| NPI Number: | 1083812820 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 34.009644 |
| Business Practice Address: | Comdesron 14 Medical Department Fpo, AA - 340994716 |
| Business Phone Number: | 9042705947 |
| Business Fax Number: | 9042707038 |
| Mailing Address: | Comdesron 14, Medical Department FPO |
| State: | AA |
| Postal Code: | 340994716 |
| Phone Number: | 9042705947 |
| Fax Number: | 9042707038 |
| NPI Enumeration Date: | 07/03/2007 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34.009644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |